Individual
ANGIE SUE MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.188815
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.192495
OH
101YM0800X
Mental Health Counselor
QMHS.HSGED
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049012
—
OH
Enumeration date
06/12/2024
Last updated
05/14/2025
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